Feb 12, 2025 · Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants. I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and …

Apr 13, 2023 · We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This claim is being …

May 24, 2019 · Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was seen by the same …

The Current Procedural Terminology (CPT ®) code 29881 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Arthroscopy Procedures on …

Jan 8, 2019 · I have gotten several denials from Aetna recently denying 20610 as investigational or experimental. The diagnosis codes being used are M17.11 and M17.12...

The Current Procedural Terminology (CPT ®) code 96127 as maintained by American Medical Association, is a medical procedural code under the range - Developmental and Behavioral …

Jul 15, 2024 · I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps

Dec 3, 2025 · Hello! Aetna has been denying our telehealth visits billed with modifier 93 when the video connection fails and the visit is completed as audio-only. (99214-93) I called and spoke with a …

Nov 11, 2017 · Hi all, Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E&M service (99201-99395). Initially I tried with modifier “25” to E&M, after that I even tried with an …

The Current Procedural Terminology (CPT ®) code 97164 as maintained by American Medical Association, is a medical procedural code under the range - Physical Therapy Evaluations.